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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 83(1)

Treatment strategy for upper cervical epidural abscess: a literature review

https://doi.org/10.18999/nagjms.83.1.1
https://doi.org/10.18999/nagjms.83.1.1
0c3b1011-7daf-4f43-be77-fcc162f22f8e
名前 / ファイル ライセンス アクション
01_Kobayashi-1.pdf 01_Kobayashi-1.pdf (733 KB)
Item type itemtype_ver1(1)
公開日 2021-05-31
タイトル
タイトル Treatment strategy for upper cervical epidural abscess: a literature review
言語 en
著者 Kobayashi, Takaomi

× Kobayashi, Takaomi

en Kobayashi, Takaomi

Search repository
Ureshino, Hiroshi

× Ureshino, Hiroshi

en Ureshino, Hiroshi

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Morimoto, Tadatsugu

× Morimoto, Tadatsugu

en Morimoto, Tadatsugu

Search repository
Shimanoe, Chisato

× Shimanoe, Chisato

en Shimanoe, Chisato

Search repository
Ikuta, Ko

× Ikuta, Ko

en Ikuta, Ko

Search repository
Sonohata, Motoki

× Sonohata, Motoki

en Sonohata, Motoki

Search repository
Mawatari, Masaaki

× Mawatari, Masaaki

en Mawatari, Masaaki

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 upper cervical epidural abscess
キーワード
主題Scheme Other
主題 surgery
キーワード
主題Scheme Other
主題 antibiotics
キーワード
主題Scheme Other
主題 paralysis
キーワード
主題Scheme Other
主題 weakness
内容記述
内容記述 We aimed to determine available evidences in the literature regarding surgical approaches and methods, timing of surgical interventions, duration of perioperative antibiotics, and duration of nonsurgical treatments (antibiotics administration) in patients with upper cervical (occiput–C2) epidural abscess (UCEA). We performed a literature review of the articles on surgical interventions and antibiotic therapy to treat UCEA, searching the PubMed database for relevant articles published in the English language (as of March 2020). In total, 53 patients with UCEA were identified. Permanent limb paralysis or death was observed in 1/15 (6.7%) patients who received the transoral approach and 2/15 (13.3%) patients who received the transcervi-cal approach, 1/26 (3.8%) patients who underwent surgery before the onset of paralysis, and 2/4 (50.0%) patients who underwent surgery after the onset of paralysis. In 85%–89% of cases, antibiotic administration was continued for 6–12 weeks, which was determined by the confirmation of reduced inflammatory response and/or abscess disappearance on imaging. Differences in surgical approaches may not be associated with the incidence of permanent limb paralysis or death. Surgical interventions before limb paralysis onset are recommended in UCEA patients. In perioperative and nonoperative treatments, antibiotic administration for 6–12 weeks may be supported based on the confirmation of reduced inflammatory response and/or abscess disappearance on imaging. Further investigations are needed.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.83.1.1
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/831.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 83, 号 1, p. 1-20, 発行日 2021-02
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